title: [5-year results of dia-/supracondylar femoral fractures, managed with the dynamic condylar screw].
abstract: In 118 patients with intra- and extraarticular distal femoral fractures we used open reduction and internal fixation with a dynamic condylar screw. We recorded general implant related complications in a very low percentage of patients. In evaluation of the long-term results in eighty one patients after follow-up of more than five years we found occasional pain in eighteen patients and frequent pain in two patients. 70% of the patients presented with free range of motion in knee joint. Only five patients had a clinically important malunion of greater than five degrees. We found malrotation of greater than ten degrees in four patients. 90% of patients were found to have a stable knee joint. The functional result according to Neer was excellent in more then 50 percent and satisfying in 40 percent of the patients. Only in 5 patients the result was determined as unsatisfying or as a failure. No arthrotic changes were found in the femoro-patellar and femoro-tibial joint in about 75 percent of the cases. Grade 2 changes were found in 15 percent in the femoro-patellar joint and in 18 percent in the femoro-tibial joint. Grade 3 arthrotic changes were seen even in less than 10 percent in both parts of the knee joint.
authors.affiliation: Abteilung Unfall- und Wiederherstellungschirurgie, Kreiskrankenhaus Traunstein.
authors.forename: R
authors.initials: R
authors.lastname: Ketterl
authors.forename: W
authors.initials: W
authors.lastname: Köstler
authors.forename: W
authors.initials: W
authors.lastname: Wittwer
authors.forename: B
authors.initials: B
authors.lastname: Stübinger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D016916:Joint Deformities, Acquired / Q000000981:diagnostic imaging; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D017211:Treatment Failure
vernacular_title: 5-Jahresergebnisse nach dia-/suprakondylären Femurfrakturen, versorgt mit dynamischer Kondylenschraube (DCS).